Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 25MA07919200 | NJ |
Y | 207P00000X | Emergency Physician | MD443721 | PA |
NPI | 1003869470 |
---|---|
Provider Name | Dr. Herschel Kupfer |
First Address | Jersey City, NJ 07306 |
Second Address | Jersey City, NJ 07306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 15/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0090280 | (05) | NJ |
103361653-0006 | (05) | PA |
I47000 | (02) | NJ |